| Kristina E Van Belle, MD | |
|
321 Mitchell Ave, Batesville, IN 47006-8909 | |
| (812) 933-5018 | |
| (812) 933-5472 |
| Full Name | Kristina E Van Belle |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 321 Mitchell Ave, Batesville, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891130001 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 01077639A (Indiana) | Secondary |
| 208000000X | Pediatrics | A136100 (California) | Primary |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristina E Van Belle, MD Po Box 236, Batesville, IN 47006-0236 Ph: (812) 933-5441 | Kristina E Van Belle, MD 321 Mitchell Ave, Batesville, IN 47006-8909 Ph: (812) 933-5018 |
Dr. Aubaine M Woods-staples, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 124 State Road 46 W, Batesville, IN 47006 Phone: 812-933-6000 | |
Gretchen R Hartz, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 124 State Road 46 West, Batesville, IN 47006 Phone: 812-933-6000 Fax: 812-933-0921 | |
Jean M Beischel, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 124 Road 46 West, Batesville, IN 47006 Phone: 812-933-6000 Fax: 812-933-0921 | |
Aimee E. Deiwert, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 124 State Road 46 West, Batesville, IN 47006 Phone: 812-933-6000 Fax: 812-933-0921 | |
Andrew F Poltrack, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 124 State Road 46 West, Batesville, IN 47006 Phone: 812-933-6000 Fax: 812-933-0921 |